Barriers and facilitators of lifestyle management among adult South Asian migrants living with chronic diseases : A mixed-methods systematic review

Journal article


Gulyani, Purva, Rawat, Priya, Elmi, Yusra, Gupta, Sabrina and Wan, Ching Shan. (2024). Barriers and facilitators of lifestyle management among adult South Asian migrants living with chronic diseases : A mixed-methods systematic review. Diabetes and Metabolic Syndrome: Clinical Research and Reviews. 18(2), p. Article 102944. https://doi.org/10.1016/j.dsx.2024.102944
AuthorsGulyani, Purva, Rawat, Priya, Elmi, Yusra, Gupta, Sabrina and Wan, Ching Shan
Abstract

Background and aim
South Asian migrants have a higher prevalence of chronic diseases than Caucasians. Despite much literature that has explored challenges in chronic disease management amongst the South Asian population in the past decades, their chronic disease management is still suboptimal. Understanding their determinants of disease management behaviour using the Theoretical Domains Framework will inform the development of a culturally sensitive intervention relevant to consumer-end-users. This study aimed to synthesise qualitative and quantitative studies on chronic disease management among adult South Asian immigrants.

Methods
A mixed-methods systematic review was conducted using electronic databases. The Mixed Methods Appraisal Tool assessed the quality of the included studies. Quantitative data were transformed into qualitative data and analysed thematically. Subthemes were mapped in the Theoretical Domains Framework presenting barriers and facilitators under each theme.

Results
18293 studies were identified, of which 37 studies were included. The barriers and facilitators identified were categorised into four overarching themes: patient-provider interaction and relationship (e.g., complex language use by health professionals), the impact of migration (e.g., weather conditions had an impact on engagement with physical activity), heritage-based practices (e.g., an obligation to consume energy-dense food in social gatherings), and chronic disease management strategies (e.g., lack understanding of appropriate disease management strategies).

Conclusion
This review provides a comprehensive understanding of the complexity of chronic disease management among South Asian migrants and insights into developing multifaceted interventions to address barriers to chronic disease management, guiding the healthcare professionals in helping overcome South Asians perceived barriers to managing chronic disease in the host countries.

Keywordsmigrants; disease management; theoretical domains framework; type 2 diabetes; metabolic syndrome
Year2024
JournalDiabetes and Metabolic Syndrome: Clinical Research and Reviews
Journal citation18 (2), p. Article 102944
PublisherElsevier Ltd
ISSN1871-4021
Digital Object Identifier (DOI)https://doi.org/10.1016/j.dsx.2024.102944
PubMed ID38281447
Scopus EID2-s2.0-85183529170
Open accessPublished as ‘gold’ (paid) open access
Page range1-12
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online27 Jan 2024
Publication process dates
Accepted08 Jan 2024
Deposited29 Jun 2025
Additional information

© 2024 The Authors. Published by Elsevier Ltd on behalf of Research Trust of DiabetesIndia (DiabetesIndia) and National Diabetes Obesity and Cholesterol Foundation (N-DOC). This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

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